Zusammenfassung
Der Krankheitsverlauf der COPD ist durch eine progrediente Verschlechterung der Lungenfunktion und eine damit einhergehende Beeinträchtigung der körperlichen Leistungsfähigkeit und der Lebensqualität gekennzeichnet. Rezidivierende Exazerbationen und bestehende Komorbiditäten komplizieren und beschleunigen diese Beeinträchtigungen. Zur Sicherstellung der zellulären Organfunktion der vitalen Organe werden im Verlauf der Erkrankung unbewusst Kompensationsmechanismen initiiert. Eine bestehende Hypoxämie kann daher eine Immobilisation oder Bewegungsmangel induzieren.
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Literatur
Stulbarg MS, Adams L (2000) Dyspnea. In: Murray JF, Nadel JA, Mason RJ, Boushey HA (eds) Textbook of Respiratory Medicine, 3rd ed. W.B. Saunders, Philadelphia
Gugger M, Bachofen H (2001) Dyspnoe Teil 2: Grundlagen und Pathophysiologie. Schweiz Med Forum 67: 143–147
Wright PR, Heck H, Langenkamp H, Franz KH, Weber U (2002) Einfluss eines Krafttrainings auf Lungenfunktionsparameter und Größen der Leistungsfähigkeit von COPD Patienten. Pneumologie 56: 413–417
O’Donnell DE, McGuire MA, Samis L (1995) The impact of exercise reconditioning on breathlessness in severe chronic airflow limitation. Am J Respir Crit Care Med 152: 2005–2013.
Wijkstra PJ, van der Mark TW, Kraan J (1996) Effects of home rehabilitation on physical performance in patients with chronic obstructive pulmonary disease (COPD) Eur Respir J 9: 104–110
Goldstein RS, Gort EH, Stubbing D (1994) Randomised controlled trial of respiratory rehabilitation. Lancet 45: 1394–1397
Cambach W, Chadwick-Straver RVM, Wagenaar RC (1997) The effects of a communitiy-based pulmonary rehabilitation programme on exercise tolerance and quality of life: a randomised controlled trial. Eur Respir J 10: 104–113
Clark CJ, Cochrane LM, Mackay E, Paton B (2000) Skeletal muscle strength and endurance in patients with mild COPD and the effects of weight training. Eur Respir J 15: 92–97
Clark CJ, Cochrane LM, Mackay E, Paton B (1996) Low intensity peripheral muscle conditioning improves exercise tolerance and breathlessness in COPD. Eur Respir J 9: 2590–2596
Haber P. Medical therapy by training in the rehabilitation of patients with COPD. Wiener Medizinische Wochenschrift 155: 106–111
Ries AL, Make BJ, Lee SM et al. (2005) The effects of pulmonary rehabilitation in the national emphysema treatment trial. Chest 128: 3799–3809
Oschima MT, Kaplan RM, Ries AL (1990) Experimental evaluation of rehabilitation in chronic obstructive pulmonary disease: shortterm effects on exercise endurance and health status. Health Psychol 93: 237–252
Puhan MA, Schünemann HJ, Frey M, Scharplatz M, Bachmann LM (2005). How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax 60: 367–375
Troosters T, Gosselink R, Decramer M (2000) Short-and long-term effects of outpatient rehabilitation in patients with chronic obstructive pulmonary disease: a randomized trial. Am J Med 109(3): 207–212
Bestall JC, Paul EA, Garrod R et al. (2003) Longitudinal trends in exercise capacity and health status after pulmonary rehabilitation in patients with COPD. Respir Med 97: 173–180
DeTurk WE, Cahalin LP (2004) Cardiovascular and Pulmonary Physical Therapy: An Evidence-Based Approach. The McGraw-Hill Companies; part 3, ch 9
White RJ, Rudkin ST, Harrison ST, Day KL, Harvey IM (2002) Pulmonary rehabilitation compared with brief advice given for severe chronic obstructive pulmonary disease. J Cardiopulm Rehabil 22: 338–344
Belman MJ (1993) Exercise in patients with chronic obstructive pulmonary disease. Thorax 48: 936–946
DeTurk WE, Cahalin LP (2004) Cardiovascular and Pulmonary Physical Therapy: An Evidence-Based Approach. The McGraw-Hill Companies; part 3, ch 9
Patten C, Kamen G, Rowland DM (2001) Adaptations in maximal motor unit discharge rate to strength in young and older adults. Muscle Nerve 24: 542–550
Halle M, Heitmann RH, Kenn K, Petro W, Schultz K (2008) Bedeutung und Methodik von körperlichem Training bei COPD. Pneumologie 62; 1–17
Laube I, Bloch KE (1999) Nicht-invasive Beatmung bei chronisch obstruktiver Lungenerkrankung. Schweiz Med Wochenschr 129: 1013–1024
O’Donnell DE, McGuire MA, Samis L (1995) The impact of exercise reconditioning on breathlessness in severe chronic airflow limitation. Am J Respir Crit Care Med 142: 2005–2013
Wijkstra PJ, van der Mark TW, Kraan J (1996) Effects of home rehabilitation on physical performance in patients with chronic obstructive pulmonary disease (COPD) Eur Respir J 9: 104–110
Goldstein RS, Gort EH, Stubbing D (1995) Randomised controlled trial of respiratory rehabilitation. Lancet 45: 1394–1397
Dean E, Frownfelter D (2006) Cardiovascular and Pulmonary Physical Therapy: An Evidence and Praxis. Elsevier, Mosby
Pfeifer M (2006) COPD-nicht medikamentöse Therapie. Urban & Vogel, München; 101: 293–300
De Troyer A, Kelly S, Zin WA (1983) Mechanical action of the intercostal muscle on the ribs. Science 220: 87–88
Global Initiative for Chronic Obstructive Lung Disease (2006) Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease. NHLBI/WHO workshop report. Bethesda, National Heart, Lung and Blood Institute. www.goldcopd.com
Abholz H, Gillissen A, Magnussen H (2007). Nationale Versorgungsleitlinie COPD Langfassung (Version 1.4). www.versorgungsleitlinien.de
Patten C, Kamen G, Rowland DM (2001) Adaptations in maximal motor unit discharge rate to strength in young and older adults. Muscle Nerve 24: 542–550
Zwick H, Lichtenschopf A (2005) COPD-Rehabilitation. Wien Med Wochenschr 155/5–6: 101–105
Maltais F, Leblanc P, Simard C (1996) Skeletal muscle adaptation to endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 154: 442–447
Maltais F, Leblanc P, Jobin J (1997) Intensity of training and physiologic adaptation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 155: 555–561
Hulzebos E, Loo H v d (2002) Paramedische trainingsbegeleiding Training van het cardiorespiratoir uithoudingsvermogen. Bohn Stafleu van Loghum
Bekkering GE, Hendriks HJM, Chadwick-Staver RMV, Paterson WJ (1998) Guidelines for physiotherapeutic management in chronic obstructive pulmonary disease (COPD). Nederlands Paramedisch Instituut, Amersfoort
Bekkering GE, Hendriks HJM, Paterson WJ (2000) Guidelines for physiotherapeutic management in chronic obstructive pulmonary disease (COPD). Phys Ther Rev 5: 559–574
Vallet G, Ahmaidi S, Serres I (1997) Comparison of two training programmes in chronic airway limitation patients: standardized versus individualized protocols. Euro Respir J 10: 114–122
Maltais F, Leblanc P, Simard C (1996) Skeletal muscle adaptation to endurance training in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 154: 442–447
Maltais F, Leblanc P, Jobin J (1997) Intensity of training and physiologic adaptation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 155: 555–561
Worth H, Meyer A, Folgerling H et al. (2000) Empfehlungen der Deutschen Atemwegsliga zum Sport und körperlichen Training bei Patienten mit obstruktiven Atemwegserkrankungen. Urban & Vogel, 95: 123–129
Bernards JA, Bouman LN (1994) Fysiologie van de mens. Bohn Stafleu van Loghum, Houten Diegem
Casaburi R, Patessio A, Loli F (1991) Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. Am Rev Respir Dis 143: 9–18
Horewitz MB, Littenberg B, Mahler DA (1996) Dyspnea ratings for presribing exercise intensity in patients for prescribing exercise intensity in patients with COPD. Chest 109: 1169–1175
Roca J, Whipp BJ (1997) Clinical exercise testing with reference to lung diseases: indications, standardization and interpretation strategies. Euro Respir J 10: 2662–2689
Serres I, Gautier V, Verray A, Prefaut C (1998) Impaired skeletal muscle endurance related to phisical inactivity and altered lung function in COPD Patients. Chest 113: 900–905
Puhan MA, Schünemann HJ, Frey M et al. (2005) How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunktion. Thorax 60: 367–375
Gosselink R, Decramer M (2003) Revalidatie bij chronisch obstructieve longziekte. Elsevier, Gezondheiszorg Maarssen
Vogiatzis I, Nasas S, Roussos C (2002) Interval training as an alternative modality to continuous exercise in patients with COPD. Eur Respir J 20: 12–19
Porszasz J, Emtner M, Goto S et al. (2005) Exercise training decreases ventilatory requirements and exercise-induced hyperinflation at submaximal intensities in patients with COPD. Chest 128: 2025–2034
Somfay A, Porszasz J, Lee SM (2001) Dose-response effect of oxygen on hyperinflation and exercise endurance in nonhypoxaemic COPD patients. Eur Respir J 18: 77–84
Emtner M, Porszasz J, Burns M (2003) Benefits of supplemental oxygen in exercise training in nonhypoxemic chronic obstructive pulmonary disease patients. Am J Respir Crit Care Med 168: 1034–1042
Nandi K, Schmith AA, Crawford A (2003) Oxygen supplementation before or after submaximal exercise in patients with chronic obstructive pulmonary disease. Thorax 58: 670–673
Lewis CA, Eaton TE, Young P (2003) Short-burst oxygen immediatly before and after exercise is ineffective in nonhypoxic COPD patients. Eur Respir J 22: 584–588
Ries AL, Bauldoff GS, Carlin BW et al (2007) Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest 131: 4S–42S
Olschewski H, Hoeper MM, Ewert R et al. (2007) Diagnostik und Therapie der chronischen pulmonalen Hypertonie. Clin Res Cardiol 96: 301–330
Mereles D, Ehlken N, Kreuscher S (2006) Exercise and respiratory training improve exercise capacity and quality of life in patients with severe chronic pulmonary hypertension. Circulation 114: 1482–1489
Griffiths TL, Burr ML, Campell IA (2000) Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet 355: 362–368
Vonbank K, Funk GC, Marzluf B et al. (2008) Abnormal pulmonary arterial pressure limits exercise capacity in patients with COPD Wien Klin Wochenschr 120: 749–755
Mereles D, Ehlken N, Kreuscher S et al (2006) Exercise and respiratory training improve exercise capacity and quality of life in patients with severe chronic pulmonary hypertension. Circulation 114(14): 1482–1489
Holle D (2004) Prä-und postoperative Maßnahmen in der Rehabilitation bei Lungentransplantation (LTx). Vortrag beim 45. Kongress der Dt. Gesellschaft f. Pneumologie, Frankfurt/Main
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van Gestel, A.J.R., Steier, J., Teschler, H. (2010). Kardiopulmonales Ausdauerkapazitätstraining. In: Physiotherapie bei chronischen Atemwegs- und Lungenerkrankungen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01435-2_35
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